Last Updated: June 2025
Author: Sarah Thompson, DPT – Board-Certified Doctor of Physical Therapy, Orthopedic Rehabilitation Specialist
# 13 Weeks Post-Op Bunion Surgery: Why Am I Still Swollen and Uncomfortable?
Recovering from bunion surgery can be a complex and sometimes frustrating experience. If you're 13 weeks post-op and still experiencing swelling and discomfort, you're not alone. The healing process after a bunionectomy varies from person to person and can be influenced by many factors—including post-op care, physical activity levels, and even footwear.
In this article, we'll discuss why swelling can persist, what you can do to reduce it, and when you may be ready to resume activities like running. We’ll also explore medically sound strategies and expert insights to help you navigate this stage of healing with confidence.
Why Swelling Persists 13 Weeks After Bunion Surgery
Swelling after bunion surgery is not just common—it’s expected. According to the American Orthopaedic Foot & Ankle Society (AOFAS), post-operative swelling can last up to 6–12 months depending on the type of surgery and your body’s healing response.
Here’s why swelling may continue at 13 weeks:
- 🦴 Ongoing Bone and Soft Tissue Healing: Surgical trauma triggers an inflammatory response that takes time to resolve. Even after the initial healing phase, your body continues to repair tissues.
- 🧍♀️ Prolonged Standing or Walking: Gravity increases fluid accumulation in the lower extremities. If you're walking long distances or standing for extended periods, swelling may return or worsen.
- 🏃 Limited Mobility from Midfoot Fusion: If your surgery involved a fusion, you may instinctively avoid certain movements—like tiptoeing or rolling through your step—which can reduce circulation and slow healing.
- 🧘 Insufficient Rehabilitation: Physical therapy or home-based mobility exercises can greatly improve post-op outcomes. Lack of movement can lead to stiffness and persistent swelling.
🧠 Expert Insight: “Persistent swelling at 13 weeks post-op is typically due to ongoing healing and activity levels. As long as there’s no sign of infection or unusual pain, it’s usually not a cause for alarm.”
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Common Mistakes That May Slow Down Recovery
Healing from bunion surgery isn’t just about waiting—it’s about actively supporting your body. Here are some common recovery mistakes to avoid:
1. Skipping Physical Therapy
Even if your surgeon says PT isn't mandatory, movement is medicine. According to the Mayo Clinic, early mobility reduces swelling and improves surgical outcomes.
- 🧘♂️ Try exercises like:
- Toe yoga (spreading and curling toes)
- Towel scrunches
- Ankle circles and alphabet drills
2. Returning to Intense Activity Too Soon
Running or high-impact activity before full healing can cause setbacks. The American Academy of Orthopaedic Surgeons recommends easing back into exercise by starting with low-impact activities.
- Recommended alternatives:
- Swimming
- Stationary cycling
- Elliptical machines
3. Wearing Improper Footwear
Shoes with tight toe boxes, high heels, or poor arch support can increase swelling and discomfort.
- 👟 Use recovery-friendly footwear:
- Wide toe box
- Cushioned sole
- Orthotic inserts if needed
- 🩹 Support devices like bunion sleeves add gentle compression and help realign the toe joint.
How to Reduce Post-Op Swelling and Discomfort
Here are medically-backed strategies to promote healing and reduce lingering swelling:
✅ Elevation and Icing
- Elevate your foot above heart level for 15–20 minutes, 2–3 times daily.
- Wrap ice packs in a towel and apply for 15-minute intervals to reduce inflammation.
✅ Compression and Support
- Compression sleeves or socks can improve circulation (source: Journal of Foot and Ankle Research).
- Bunion sleeves reduce strain on healing joints and offer protective cushioning.
✅ Anti-Inflammatory Approaches
- Stay well-hydrated to support lymphatic drainage.
- Include anti-inflammatory foods like:
- Salmon (omega-3s)
- Turmeric
- Berries
- Leafy greens
✅ Gentle Mobility Work
- Perform light foot and ankle stretches to maintain flexibility.
- Avoid pain-provoking movements, but don’t let your foot become stagnant.
When Can You Start Running Again?
The timeline for resuming running or high-impact sports varies. Most patients can begin easing into running between 3 to 6 months post-op—if healing is on track.
Signs You May Be Ready:
- No swelling or pain after walking several miles
- Full range of motion in the big toe
- Strong push-off during walking
- Surgeon clearance after a follow-up appointment
⚠️ If you experience pain or swelling after a trial jog, scale back and reassess. Healing is not linear, and your foot may need more time.
Tools to Support Your Recovery
If you're looking for relief from bunion pain, consider using the Orthopedic Bunion Pain Relief & Correction Sleeve , which provides support and helps to alleviate discomfort.
For additional protection, the Tailor's Bunion Bunionette Pain Relief Protection Sleeves are designed to offer comfort and protection for bunionette pain.
To nourish and soothe the skin around bunions, as well as to promote healthy hair, consider the Jamaica Black Castor Oil Soothing Oil . Known for its moisturizing and anti-inflammatory properties, it helps alleviate discomfort around bunions and supports hair growth and scalp health.
Key Takeaways
- ✅ It’s normal to still have swelling 13 weeks post-op
- ✅ Physical therapy and gentle mobility exercises can accelerate healing
- ✅ Supporting your foot with compression, proper footwear, and rest is essential
- ✅ Listen to your symptoms—not just the calendar—before returning to exercise
- ✅ Consult your surgeon before resuming high-impact activity
Practical Tips
- Keep a daily log of your symptoms, swelling, and activity levels to track progress.
- Set alarms to remind yourself to elevate and ice your foot throughout the day.
- Try contrast baths (alternating warm and cool water) to stimulate circulation.
FAQ
❓ Is it normal to have pain 13 weeks after bunion surgery?
Yes, mild pain or discomfort—especially after activity—is normal. However, sharp, worsening, or constant pain warrants a medical evaluation.
❓ How long does it take for swelling to fully go away?
Swelling can persist for up to 6–12 months. It typically diminishes in stages and varies by surgical method and individual healing rates.
❓ Can I walk barefoot at 13 weeks post-op?
It’s best to avoid walking barefoot for now. Use cushioned sandals or recovery shoes to protect your healing foot and reduce inflammation.
❓ Should I wear a bunion sleeve all day?
Yes, many people benefit from wearing bunion sleeves during the day for support and then switching to a looser option at night, depending on comfort.
Final Thoughts: Listen to Your Foot, Not Just the Calendar
Healing is not a race. At 13 weeks post-op, persistent swelling is often a sign that your body is still doing necessary repair work. Don’t rush the process—support it with smart rehab, proper footwear, and restorative tools like compression sleeves.
👉 Have questions about your bunion recovery? Share your experience in the comments below—we’re here to help!
Disclaimers & Disclosures
This article is intended for informational purposes only and does not constitute medical advice. Always consult with your podiatrist or orthopedic surgeon for personalized recommendations.
This article features affiliate links to products we trust and recommend. We may earn a small commission at no extra cost to you if you choose to purchase through these links.
Sources:
- American Orthopaedic Foot & Ankle Society (AOFAS)
- Mayo Clinic
- Journal of Foot and Ankle Research
- American Academy of Orthopaedic Surgeons (AAOS)
- Dr. Rebecca Miller, DPM – Clinical Commentary, 2025
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Written by Sarah Thompson, DPT
Board-Certified Doctor of Physical Therapy
Orthopedic & Post-Surgical Rehab Specialist